| Shoe City Family Dental Pc | |
|
103 Merrimack St Haverhill MA 01830-6208 | |
| (978) 971-0060 | |
| (978) 971-0061 |
| Full Name | Shoe City Family Dental Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 103 Merrimack St, Haverhill, Massachusetts |
| Authorized Official Name and Position | Dong Won Kim (OWNER) |
| Authorized Official Contact | 6178883400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shoe City Family Dental Pc 103 Merrimack St Haverhill MA 01830-6208 Ph: (978) 971-0060 | Shoe City Family Dental Pc 103 Merrimack St Haverhill MA 01830-6208 Ph: (978) 971-0060 |
| NPI Number | 1487267282 |
|---|---|
| Provider Enumeration Date | 08/31/2020 |
| Last Update Date | 01/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487267282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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